Registration

Preschool & Children's Ministry Registration Form

Welcome to Pitts Baptist Church Preschool & Children's Minsitry! In order to better serve your family, we ask that all children have a registration form with complete contact information on file. Registration is renewed each August to ensure the most up-to-date information for your child. Parents are also reminded that all children MUST have a parent or resonsible ADULT involved in a ministry during activities.

Child's Name Date of Birth

Age as of August 31, 2011

Address City Zip

Home Phone

School

Mother's Name

Mother's Cell

Mother's Email

Father's Name

Father's Cell

Father's Email

Emergency Contact Name (Other than a parent)

Emergency Contact Number

Does your child have any food or drug allergies?

If yes, please provide allergies:

Does your child have any medical conditions?

If yes, please provide an explanation:

Please select each ministry in which your child will be enrolling:

Sunday School

AWANA

Choir

As the church staff works to partner with and equip the family, we ask that each parent support and be involved with the Preschool & Children's Ministry as a leader, helper, teacher, or as needed. Due to liability reasons, every child must have a parent/guardian or responisble adult on campus involved in a ministry activity during these times.

I give Pitts Baptist Church permission to use my child's image (names will not be included) on publications including the church web page.